不同开塞露纳肛法对腹部术后患者肠功能恢复的影响

Effects of glycerol enema used in different ways on recovery of intestinal function

目的探讨不同开塞露纳肛法对腹部术后患者肠功能恢复的影响。方法将72例腹部术后72h未能肛门排气或排便的患者分为对照组和实验组，每组各36例，对照组采用开塞露插入肛门3—4cm的方法；实验组用注射器抽取开塞露连接一次性吸痰管后插入肛门15cm的方法。观察两组患者首次肛门排气和排便时间及腹胀发生情况。结果实验组患者首次肛门排气和排便时间较对照组短，腹胀发生率低于对照组，两组比较，差异具有统计学意义（均P〈0．05）。结论与传统的开塞露直接插入肛门方法相比，采用注射器抽取开塞露连接一次性吸痰管插入肛门的方法能促进腹部术后患者肠功能恢复和降低腹胀发生率。

Objective To explore the effect of glycerol enemas used in different ways on the postoperative recovery of intestinal function. Methods Seventy-two patients after abdominal surgery were randomly divided into the control group and the experiment group ： in the former group glycerol enema was injected into the anus 3- 4 cm and in the latter group the enema was injected into anus 15 cm using a syringe connected to suction tube. The two groups were compared in terms of first time for anal exsufflation, time for defecation and abdominal distension. Results The first time for anal exsufflation and the time for defecation were both significantly shorter than the control group and the rate of abdominal distension was lower than those in the control group （P 〈 0.05）. Conclusion Injection of enema by connecting the syringe to a suction tube may be effective in promoting the recovery of intestinal function and lower the rate of abdominal distension.